Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.59 / $284.64 / $312.27	Facility		$157.59	$284.64	$312.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $99.84 / $146.36	Professional		$75.59	$99.84	$146.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $128.37 / $163.92	Professional		$114.10	$128.37	$163.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $101.46 / $350.89	Professional		$78.05	$101.46	$350.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $171.16 / $246.37	Professional		$142.63	$171.16	$246.37
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $74.06 / $128.37	Professional		$59.90	$74.06	$128.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.91 / $125.91 / $125.91	Professional		$125.91	$125.91	$125.91